I Chapter 19 Life s Final Chapter A Understanding Death and Dying 1 Defining Death a Brain Death All activity in brain and brain stem stopped Irreversible b Persistent Vegetative State Activity in cerebral cortex stopped Brain stem still active 2 Are There Stages of Dying or Grieving a Denial b Anger c Bargaining d Depression e Acceptance f Do NOT happen in these exact stages can happen in any order and are more like mechanisms or strategies of how to deal with death and grieving a Home a wished upon place but doesn t usually happen because they people do not want to put stress on family b Hospital More common has some policies but hospitals are getting better with accepting personal needs c Hospice either nurses to come to the house or in the hospital care for comfort in death 2 Hospice Approach a Comprehensive support for dying and their families Family and patient as a unit Team care Palliative comfort care B Where People Die 1 Places of Death Home or homelike Bereavement help C Supporting a Dying Person 1 Death with Dignity a How we treat a dying person Humane compassionate care Esteem and respect Candid about certainty of death Information to make end of life choices 2 Death Anxiety Decreases with Age a Factors that Influence Thoughts about Dying Cause of Death Personality Coping Style Family member s behavior Health professional s behavior Spirituality and Religion Culture D Lifespan Perspectives on Death 1 Developmental Understanding a Children lack their understanding that death is permanent and universal Do not understand what happens to the body when death takes place b Adolescents Know that life functions end might construct magical thinking light dark transition and still engage in risky behavior c Adults Dealing with death is not concrete in other nations